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TUESDAY EVENING, MARCH 10, 2020 - PURIM FEAST RESERVATION FORM

Family Name: 

First Names:       

    

Address:  
City:
         State:  
Zip Code:
 

Phone:   
Email:* 

Adults   Children     
  

Cost:  (with advance reservations)                                   
            $40 per Adult   $18 per Child     

  I would like to be an event sponsor ($360.00) 

Please charge a total of $ to my credit card.

Credit Card Type: 

Credit Card Number:    

Exp.(mm/yyyy)
 

My check payable to Chabad of Parkland is in the mail.

 Please mail all checks to Chabad of Parkland - 7170 Loxahatchee Rd. Parkland, FL. 33067

Thank you so much!...

We look forward to you JOINING US!

For any questions, please contact us: 954-970-9551